=*=+=*=+=*=+=*=+=* INTERNATIONAL COMMUNITY SERVICE *=+=*=+=*=+=*=+*=+=*= A nonprofit, nonpolitical, voluntary service organization registered in USA exclusively for educational/scientific/charitable purposes, ICS is dedicated to promoting international exchange as well as to serving the international students/scholars community. ........................................................................ info@icsweb.org [or] info@icsnet.org http://www.icsweb.org [or] http://www.icsnet.org ........................................................................ ICS News Release Special ICS Health Insurance Program (PLAN A, VANTAGE PLAN, DISCOUNT PLAN) 2006-2007 ..............................INTRODUCTION.............................. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dear Students/Scholars: Greetings from International Community Service (ICS)! We would like to take the liberty to introduce the ICS Health Insurance Program. The Policies for 2006-2007 school year retain the same distinctive features that have over the years made ICS program most popular (serving students, scholars and their families at more than 300 colleges/universities across USA). With a proud track record of quality, stability, and reliability, ICS is always committed to providing the most comprehensive and affordable health insurance for international students/scholars. As a tradition, ICS has always enjoyed working with campus organizations to serve the needs of their members and beyond, plus financial support in the form of refunds and sponsorships. We would gratefully appreciate your kind assistance in distributing ICS info to fellow Students/Scholars at your school or local area (e.g., post this release to your email networks and link ICS website to your websites). If we can be of any assistance, please feel free to let us know. Included below are some highlights for your consideration. Enrollment FORM is attached at the end for your convenience. If interested, please visit ICS website for brochures, forms and related info. Printed brochures are also available upon request. Thank you for your attention. Sincerely, (Signed) INTERNATIONAL COMMUNITY SERVICE ------------------------------------------------------------------------- Email: info@icsweb.org [or] info@icsnet.org Web Site: http://www.icsweb.org/ [or] http://www.icsnet.org/ Toll Free: 1-800-356-1235 [English, 8:00-5:00 EDT Mon-Fri] Fax: 1-954-772-0872 [Such as enrollment, waiver forms, etc.] General info: (352) 331-0087 [Chinese, evening hours, 7:00-9:00pm EDT] ------------------------------------------------------------------------- >Some highlights of the 2006-2007 ICS PLANs [Please read ICS brochures/certificates for more details] ELIGIBILITY 1) All Students/Scholars (from all parts of the world) with valid non-immigration visas (F-1, J-1, etc.), including Students on practical training or temporary vacation. 2) Legal dependents - Spouse and unmarried Children under age 19 (may not enroll unless the principal Student/Scholar is also enrolled). 3) Individuals with dependent visas (F-2, J-2, etc.), who are normally considered dependents, may enroll independently (at the Student/Scholar rate) if enrolled in legitimate classes at a US college (including community colleges) or university for at least six (6) credit hours in a semester/quarter. PREMIUM RATES Student/Scholar Spouse Child Age Annual Monthly* Annual Monthly* Annual Monthly* Plan A 0-100 $ 876 $ 73 $3,516 $ 293 $1,320 $ 110 Vantage Plan 0-23 $ 588 $ 49 $2,400 $ 200 $1,092 $ 91 24-30 $ 756 $ 63 $3,000 $ 250 $1,092 $ 91 31-40 $1,500 $ 125 $6,000 $ 500 $1,092 $ 91 41-50 $2,040 $ 170 $8,160 $ 680 $1,092 $ 91 51-64 $4,200 $ 350 $12,600 $1,050 $1,092 $ 91 Discount Plan 0-23 $ 360 $ 30 $1,392 $ 116 $ 852 $ 71 24-30 $ 420 $ 35 $1,632 $ 136 $ 852 $ 71 31-40 $ 744 $ 62 $3,048 $ 254 $ 852 $ 71 41-50 $1,044 $ 87 $4,260 $ 355 $ 852 $ 71 51-64 $2,100 $ 175 $8,400 $ 700 $ 852 $ 71 *Minimum Enrollment of 3 Months COMPREHENSIVE COVERAGES Covered Medical Expenses (Injury/Sickness): Inpatient/Outpatient, plus: Medical Emergency; Prescription Drugs; Elective Abortion; Maternity (conception must occur after the Insured's effective date of coverage); Child Coverage (automatic 31-day Newborn child coverage); Mammographic Examinations; Repatriation ($10,000 Maximum); Medical Evacuation ($25,000 Maximum); Accidental Death & Dismemberment (AD&D); Psychotherapy (Mental or Nervous Disorders, Alcoholism, or Drug Abuse); etc. [Please refer to ICS brochures/certificates for Policy details.] Covered Medical Expenses* PLAN A VANTAGE PLAN DISCOUNT PLAN (Per Injury or Sickness) $ 0.01 - $ 2,500.00** 100% 80% 80% $ 2,500.01 - $ 5,000.00 80% 80% 80% $ 5,000.01 - $ 7,500.00 80% 80% 80% $ 7,500.01 - $ 10,000.00 80% 80% 80% $ 10,000.01 - $ 35,000.00 80% 80% 80% $ 35,000.01 - $ 50,000.00 80% 80% 100% $ 50,000.01 - $100,000.00 100% 80% 100% $100,000.01 - $250,000.00 100% 80% N/A * Coinsurance percentage is for "In-PPO" expenses; benefits are reduced if outside of PPO. Benefits are subject to all applicable policy terms and conditions (including restrictions and limitations). ** The Insured is responsible for a Per Injury/Sickness Deductible of Covered Medical Expenses as follows. Deductible At SHC* In PPO Out PPO Plan A $ 50 $ 100 $ 200 Vantage Plan $ 50 $ 100 $ 100 Discount Plan $ 0 $ 0 $ 0 *SHC = Student Health Center (or Infirmary) HOW TO APPLY 1) Obtain ICS brochures/Enrollment Forms from International Office at your school, or download from email or web, or email your request directly to ICS (please provide your postal mailing address, and specify the plan of choice). 2) Fill out an enrollment form, attach appropriate payment (check or Credit Card Payment Authorization), and mail to address indicated on the Enrollment Form, or fax to 1-954-772-0872. 3) If you prefer, you may enroll online at http://www.icsweb.org/ or simply fill out and email the attached Enrollment Form (if paying by credit card) to: enroll@icsweb.org [or] i4css@aol.com 4) For each new Policy, official insurance ID card will be issued to you upon receipt of completed application and required premium. An official receipt will be issued when you renew your coverage. The ID card or receipt serves as proof of insurance. >Attached ..................................Cut Here................................. International Community Service Enrollment Form for Student/Scholar Accident & Health Insurance 2006-2007 ================================================= Please Print All Applicable Information Clearly - Failure to do so may delay or void your insurance ================================================= [Please refer to ICS brochures for Policy details] Last Name: First Name & MI: Address: City: State & Zip: Social Security No. (or Student ID): Date of Birth (mm/dd/yyyy): Gender (Male or Female): Telephone (include area code): Fax (include area code): Email: Status (Student, Scholar, or ICS Member): Visa Type (F-1, J-1, etc.): School Advisor's Name (Last/First): College or University Attending: CIN # (leave blank if unknown): Home Country (Country of Origin): Indicate Period/Coverage Selected - Period (Annual; 11, 10, ... 3 Months Minimum): Plan (Plan A, Vantage Plan, Discount Plan, etc.): Desired Starting Date (mm/dd/yyyy): Specify "New Application" or "Renewal": List All Dependent(s) To Be Insured - Spouse Name (Last/First): Spouse Birth Date (mm/dd/yyyy): Spouse Gender (Male or Female): Child_1 Name (Last/First): Child_1 Birth Date (mm/dd/yyyy): Child_1 Gender (Male or Female): Child_2 Name (Last/First): Child_2 Birth Date (mm/dd/yyyy): Child_2 Gender (Male or Female): Child_3 Name (Last/First): Child_3 Birth Date (mm/dd/yyyy): Child_3 Gender (Male or Female): Credit Card Payment Authorization - Card Type (MasterCard/VISA/Discover/American Express): Cardholder's Name (Last/First): Card No.: Card Expiration Date (mo/yr): Total Premium to be charged: $ ..................................Cut Here................................. Submit completed application (Enrollment Form + Premium Payment): By Mail: Insurance for Students P O Box 24845 Ft. Lauderdale, FL 33307-4845 By Fax (Credit Card Payment Authorization required): Insurance for Students 1-954-772-0872 (fax) By Email: enroll@icsweb.org [or] enroll@icsnet.org (For Enrollments Only) [For assistance, please contact the insurance company at 1-800-356-1235] ___________________________________________________________________________ $THE END$